Nandhakumar, Ayyavoo
Nandhakumar, Ayyavoo is an sole proprietor health care provider with primary practice located at 1376 Bucktail Rd , Saint Marys PA 15857-3212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Nandhakumar, Ayyavoo can be contacted via phone (814) 781-6565.Contact Information
Primary practice address
1376 Bucktail Rd
Saint Marys PA 15857-3212
Phone: (814) 781-6565
Fax: (814) 781-1985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD047983L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD047983L | Pennsylvania |
Profile Details
| NPI number | 1902947062 |
|---|---|
| LBN Legal business name | Nandhakumar, Ayyavoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2007 |
| Last updated | May 12th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902947062 | NPPES |
| Pennsylvania | Other | 000067822 | HIGHMARK |
| Pennsylvania | MEDICAID | 0014734060004 | HIGHMARK |
| Pennsylvania | Other | 050002703 | HIGHMARK |
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